scholarly journals Correspondence: Knowledge, Attitude and Practice of Healthcare Managers to Medical Waste Management and Occupational Safety Practices: Findings from Southeast Nigeria

Author(s):  
Puneet Anand
2020 ◽  
Vol 2020 ◽  
pp. 1-12
Author(s):  
Pensiri Akkajit ◽  
Husna Romin ◽  
Mongkolchai Assawadithalerd ◽  
Issam A. Al-Khatib

Medical waste represents a significant health risk and an environmental pollution concern due to its hazardous characteristics. The knowledge and practice of healthcare personnel in respect of the disposal of medical waste is essential to perform effective medical waste management. Therefore, the aim of this study was to assess the knowledge, attitudes, and practices related to medical waste management among healthcare workers in clinics (medical and dental clinics, specialized medical, laboratory clinics, polyclinics, and midwifery clinics) in Phuket, Thailand. A cross-sectional study was designed with stratified-random sampling used to select the sample of 344 respondents from 172 clinics of which data were collected using face-to-face interviews. The results showed that the majority of respondents (87.2%) were female of whom 36.9% were aged (20–29), 52.0% had more than 5 years working experience, and 51.2% had participated in at least one training course regarding medical waste management. The overall scores for knowledge, attitude, and practice were at a high level (89.5%, 91.9%, and 92.2%, respectively). Significant and positive correlations were found between knowledge and attitude (r = 0.464), knowledge and practice (r = 0.396), and practice and attitude (r = 0.519). Statistical analysis using t tests and one-way analysis of variance showed that working experience and its duration were significant factors influencing good medical waste management practice. However, local authorities should implement a well-planned collection and transfer process for medical waste in order to reduce the risk of environmental pollution and the risk of infection or injury to healthcare workers and the general public.


Author(s):  
Hanan Hamed Mohamed ◽  
Rabab Gad Abd El-Kader ◽  
Adel Al-Wehedy Ibrahim

Background: Inadequate management of medical waste is a serious problem in many developing countries due to the risks arising to human health and the environment. The study aim was to assess knowledge, attitude and practice of the health care personnel about the medical waste management in the selected family health centers in Mansoura, Egypt. Design: Cross-sectional study approach was utilized. Cluster random sample was used in selecting the family health centers, the health care personnel working in the selected centers were the participant. Knowledge of health care providers was assessed by structured questionnaire. Observation checklists was used to assess their practice and Likert scale questionnaire to assess their attitude. Results: showed incorrect knowledge and improper practices related to different issues handling wastes of chemicals, pressurized containers and radioactive materials in addition, the duration of storage waste among the health care personnel and more than half (57.5%) of them had satisfactory attitude. Conclusion: physician and pharmacists had a good knowledge about waste management while most of them had unsatisfactory practice. Nurses had a satisfactory practice and most of the health care workers had satisfactory attitude towards safe waste management. Recommendations: development of in-service training program in relation to awareness and practices of waste disposal for all health care staff, with continuous monitoring at regular intervals. In addition to written policies or clear guidelines of waste management should be available at the family health centers.


Author(s):  
Arthi M ◽  
Surendar R ◽  
Srikanth S ◽  
Latha S ◽  
Radhika .

Background: Biomedical waste has become a crucial health hazard in many countries including India. Careless and indiscriminate disposal of these wastes can contribute to the spread of serious diseases. The new guideline of Bio-Medical Waste Management Rules -2016 was released on March, 2016 and revised in 2018. In order to update the new rules periodically, the present study was carried out with the aim to assess the knowledge, attitude and practice on biomedical waste management among health care workers working in a tertiary hospital in Puducherry and to evaluate the effectiveness of sensitisation program regarding 2016 Bio-medical waste management rules. Methods: All staff nurses and nursing assistants working at SVMCH & RC, Puducherry were included. Study period was between August and October 2016. About 103 willing participants were included.The participants were assessed by pre-test and post-test with a semi-structured questionnaire. Dataanalysed using SPSS (version 23).Descriptive and inferential statistics were used to compare pre-test and post-test score. Chi-square and Fisher’s exact tests were applied to find the significant difference before and after intervention. Results:Among total participants (103), 83.5% of the participants were Staff Nurses, 10.7% Female Nursing Assistant and rest Auxiliary Nursing Mid-wife. About 68 % of them have reported that it is the sole responsibility of the Government in proper management of Bio-medical waste and 27.2% of them reported that procedures involved in Bio-Medical Waste Management (BMWM) are increasing the financial burden of their hospital.Regarding identification of the symbol of bio-hazard, there was a significant increase in knowledge in the post-test when compared to the pre-test. About 40.8% (42) of participants had poor knowledge about BMW in pre test. Regarding attitude and practice, in the pre-test, around 59% have said that they will report about any injury due to or during wrong disposal whereas in the post-test it has been increased to 78% which is statistically significant (p<0.05). About 89.3% of the participants reported that they are having the practice of wearing gloves while handling BMW in pre-test whereas in the post-test, 94.2% has reported. Overall mean and standard deviation of pre-test and post-test scores regarding BMW shows a statistically significant improvement in KAP score regarding biomedical waste management and new rules in the post-test after interventionthan the pre-test. Conclusions:The knowledge of the participants regarding management of bio-medical waste is still in its childhood stage.There was an evident increase after administration of sensitisation program.


Author(s):  
Tado Nabam Hina ◽  
Shubhabrata Das ◽  
Munmee Das

Background: Bio-medical waste (BMW) means any waste, which is generated during the diagnosis, treatment or immunization of human beings or animals or in research activities or in the production or testing of biological or in any health camp activities. Proper management of BMW ensures protection of public health and environment against any adverse effect associated with such waste materials. Several studies have reported that health care workers lack adequate level of awareness and right attitude regarding proper BMW management which ultimately reflects as incorrect practice of handling and disposal of bio medical waste. This study aimed to assess the knowledge, attitude and practices of healthcare workers regarding bio-medical waste management.Methods: This study was conducted at Tomo Riba Institute of Health and Medical Sciences (TRIHMS), Arunachal Pradesh, India. Hospital based cross sectional study was conducted and questionnaire were administered to 313 healthcare workers of TRIHMS who consented to participate in the study. A predesigned questionnaire for knowledge, attitude and practice study was used for data collection. Data was analysed using Microsoft Excel and STATA 13.Results: Study results show that the average knowledge score was highest amongst nurses (10±2.6) and least in class IV staffs (7.2±1.9).  Amongst all participants laboratory technicians were mostly average or poor on the attitude score. Overall only 23 percent (n=73) of the healthcare workers were found to be performing good BMW management practice.Conclusions: Our study revealed that there is significant variation in knowledge, attitude, and practice regarding biomedical waste management among healthcare workers.


2016 ◽  
pp. 101-108
Author(s):  
Duy Tao Tran ◽  
Trong Si Hoang

Objective: Monitoring and evaluation of air environmental quality, waste water and medical waste management activities in some hospitals in the Central Highlands. Research Methodology: Cross-sectional descriptive survey was deployed in 6 provincial hospitals of the Central Highlands in 7th- 8th months every year for 3 years, 2011, 2012, 2013. Observing the process of waste management in hospitals, weighing the medical solid waste generated daily, sampling and environmental monitoring of air, water waste samples after treatment of hospitals. Findings: The percentage of substandard sample of radioactive 2011 was 5.88%, in 2012 was 5%, 2013 was 0.02%. Mainly in dose laboratories, rinse the nuclear medicine department, hatch covers radioactive waste storage. 100% of the air sample of wastewater treatment areas have NO2 target and 60% of SO2 target sample have not reached allowed regulations. The atmosphere at the garbage area hospitals in Kon Tum and Lam Dong provinces through 2 years of monitoring in 2012, 2013 exceeded SO2 target standards. Monitoring results incinerator emissions sample at 3 hospitals: Kontum, Gia Lai, Dak Nong in 3 years reached Regulations allow. The observation sample treated waste water of the hospital in 2013 with low contamination rate than in 2011 and 2012 in terms of physics and chemistry. Particularly criteria Total coliforms 3 years are from 40-50% of samples exceeded standards. Regarding waste management, the results of monitoring in 2013 showed that 60% of faculties have sharps instruments and 20% of the faculties have satisfactory utensils anatomical waste. 59.48% of the faculties have the guidelines for waste separation. Condition misclassified not many and occur in two hospitals Gia Lai, Dak Lak. Only Lam Dong hospitals have waste transportation vehicles secured closed during transport. The amount of waste / beds / 24 hours is 1.097kg. In particular infectious waste is 0.26kg. Only two hospitals in Daklak, Lam Dong has generated radioactive waste with a total of 0.9 kg/day. Key words: Medical waste, medical waste management.


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